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Goh Barnabas, Samuel Mathew, Maryam Shamassi, Mohammad Rafique
Uterine torsion is a rare condition. Even more so in cases of non-gravid torsion. We present the case of a post-menopausal woman in her 70s who arrived to our emergency department acutely unwell with abdominal pain and vomiting on a background of a large leiomyomatous uterus, complicated by aspiration pneumonia, acute anaemia, and acute kidney injury. Computed tomography demonstrated a small bowel obstruction secondary to a large heterogeneous calcified pelvic mass. Laparotomy performed demonstrated a large leimyomatous uterus that had torted on the cervical pedicle associated with perforation of the lower anterior segment...
February 2024: Journal of Surgical Case Reports
#2
Kah A Ho, Rajkumar Srinivasan
Meckel's diverticulum (MD) is the most common congenital anomaly of the gastrointestinal tract. Torsion is a rare complication of MD with only 48 cases described in the English literature to date. We describe a case of a 22-year-old male who presented to the emergency department with lower abdominal pain. Pre-operative computed tomography scan suggested a torted MD. This was confirmed on diagnostic laparoscopy and managed with segmental resection of the MD and a concurrent appendicectomy. Histopathology confirmed torsion of MD and a normal appendix...
January 2024: Journal of Surgical Case Reports
#3
JOURNAL ARTICLE
Maria da Penha Gomes Gouvea, Ketty Lysie Libardi Lira Machado, Yasmin Gurtler Pinheiro de Oliveira, Isac Ribeiro Moulaz, Allan Gonçalves Henriques, Thayná Martins Gouveia, Beatriz Paoli Thompson, Karen Evelin Monlevade Lança, Sabrina de Souza Ramos, Gabriela Curto Cristianes Lacerda, João Pedro Gonçalves Lenzi, Felipe de Castro Pimentel, João Pedro Moraes Miossi, Matheus Leite Rassele, Luiz Antônio Bastos Camacho, Daniel Antunes Maciel Villela, Sheila Maria Barbosa de Lima, Adriana de Souza Azevedo, Ingrid Siciliano Horbach, Mia Ferreira de Araújo, Luis Fernando Lopez Tort, Any Caroline Alves de Oliveira, Marilda Mendonça Siqueira, Cristiana Couto Garcia, Ismael Artur da Costa-Rocha, Ana Carolina Campi-Azevedo, Vanessa Peruhype-Magalhães, Vanézia Gonçalves da Silva, Samira Tatiyama Miyamoto, Rosilene Nilo Dos Santos Fantoni, Lauro Ferreira Pinto-Neto, Carla Magda Domingues, Nésio Fernandes de Medeiros Junior, Ana Paula Burian, Andréa Teixeira-Carvalho, Licia Maria Henrique Mota, José Geraldo Mill, Olindo Assis Martins-Filho, Valéria Valim
New variants of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) have emerged, imposing the need for periodic booster doses. However, whether booster doses should be applied to the entire population or groups, and the booster doses interval, remains unclear. In this study, we evaluated humoral reactivity kinetics from before the first dose to 180 days after the third booster dose in different schedules in a well-controlled health worker cohort. Among the 2,506 employees, the first 500 vaccinated health workers were invited to participate...
September 1, 2023: Vaccine
#4
Saksham Gupta, Basavaraj Mundasad
This case describes a rare clinical situation of chylous ascites due to lymphatic obstruction in the setting of small bowel volvulus. A 32-year-old man presented with acute onset abdominal pain in the preceding 3 hours, associated with nausea and vomiting. He underwent a computed tomography (CT) scan which was concerning for an internal hernia involving the small bowel. On subsequent laparoscopy, milky fluid suggestive of chyle was found within the pelvis, along with a torted segment of the small bowel. The bowel was gently reduced with ease using atraumatic laparoscopic graspers...
April 2023: Middle East Journal of Digestive Diseases
#5
JOURNAL ARTICLE
Otávio Melo Espíndola, Trevon L Fuller, Mia Ferreira de Araújo, Luis Fernando Lopez Tort, Lusiele Guaraldo, Guilherme Calvet, Paola Resende, Myrna Bonaldo, Jimmy Whitworth, Chris Smith, Marilda Siqueira, Patrícia Brasil
COVID-19 vaccines have dramatically reduced rates of severe infection requiring hospitalization. However, SARS-CoV-2 variants have reduced vaccine effectiveness at preventing any symptomatic infection. This real-world study analyzed binding and neutralizing antibodies generated after complete vaccination and boosting across three vaccine platforms. Binding antibodies decayed most slowly in people under 60 with hybrid immunity. Neutralizing antibodies against Omicron BA.1 were reduced compared to other variants...
May 8, 2023: Scientific Reports
#6
JOURNAL ARTICLE
Felipe Gomes Naveca, Valdinete Alves Nascimento, Fernanda Nascimento, Maria Ogrzewalska, Alex Pauvolid-Corrêa, Mia Ferreira Araújo, Ighor Arantes, Érika Rocha Batista, Alessandro Álvares Magalhães, Fernando Vinhal, Tirza Peixoto Mattos, Irina Riediger, Maria do Carmo Debur, Beatriz Grinsztejn, Valdiléa G Veloso, Patrícia Brasil, Rodrigo Ribeiro Rodrigues, Darcita Buerger Rovaris, Sandra Bianchini Fernandes, Cristiano Fernandes, João Hugo Abdalla Santos, Lígia Fernandes Abdalla, Rubens Costa-Filho, Marineide Silva, Victor Souza, Ágatha Araújo Costa, Matilde Mejía, Maria Júlia Brandão, Luciana Fé Gonçalves, George Allan Silva, Michele Silva de Jesus, Karina Pessoa, André de Lima Guerra Corado, Debora Camila Gomes Duarte, Ana Beatriz Machado, Ketiuce de Azevedo Zukeram, Natalia Valente, Renata Serrano Lopes, Elisa Cavalcante Pereira, Luciana Reis Appolinario, Alice Sampaio Rocha, Luis Fernando Lopez Tort, Tsuyoshi Sekizuka, Kentaro Itokawa, Masanori Hashino, Makoto Kuroda, Filipe Zimmer Dezordi, Gabriel Luz Wallau, Edson Delatorre, Tiago Gräf, Marilda Mendonça Siqueira, Gonzalo Bello, Paola Cristina Resende
The rapid spread of the SARS-CoV-2 Variant of Concern (VOC) Gamma in Amazonas during early 2021 fueled a second large COVID-19 epidemic wave and raised concern about the potential role of reinfections. Very few cases of reinfection associated with the VOC Gamma have been reported to date, and their potential impact on clinical, immunological, and virological parameters remains largely unexplored. Here we describe 25 cases of SARS-CoV-2 reinfection in Brazil. SARS-CoV-2 genomic analysis confirmed that individuals were primo-infected with distinct viral lineages between March and December 2020 (B...
May 5, 2023: Scientific Reports
#7
JOURNAL ARTICLE
Merari Goldstein, Eva Vallejos-Vidal, Valentina Wong-Benito, Felipe Barraza-Rojas, Lluis Tort, Felipe E Reyes-Lopez, Mónica Imarai
In this study, we investigated the effects of the artificial photoperiods that mimic summer (16L:8D) and winter (8L:16D) solstices, equinoxes (12L:12D), and the artificial 24-h light regimen (24L:0D) on the leukocyte populations and the T helper and regulatory type responses on rainbow trout (Oncorhynchus mykiss). Using flow cytometry analysis, we found that photoperiod induces changes in head kidney leukocyte subsets. The lymphoid subset increased in the 16L:8D summer solstice regime. The analysis using antibodies against B and T cells showed the increase of CD4-1+ T lymphocytes and other unidentified lymphoid cells, with no changes in the B cells...
April 21, 2023: Fish & Shellfish Immunology
#8
Carlin Ngai, Seethalakshmi Viswanathan, Joshua Lansom
INTRODUCTION: Acute appendicitis is a very common cause of abdominal pain which is optimally treated surgically. On the other hand, epiploic appendagitis is a self-resolving condition typically managed with analgesia alone, which can also present with severe abdominal pain. Both can present similarly and be difficult to distinguish. CASE: A 38 year old male presented with 2 days of periumbilical and right iliac fossa pain, with features of localised peritonism on physical exam...
March 29, 2023: International Journal of Surgery Case Reports
#9
Diandra Daley, Malcolm Padwick, Sabina Mistry, Vivek Malhotra, Radhika Selvi Vikram, Paul Stanciu
INTRODUCTION: Endometrial cancer is one of the most common malignancies affecting women. It is uncommonly diagnosed in young women, particularly in the absence of abnormal vaginal bleeding symptoms. CASE PRESENTATION: A 28-year-old woman was referred to our department with lower abdominal pain. Transvaginal ultrasound showed a complex right adnexal mass with mixed echogenicity. Magnetic resonance imaging (MRI) identified a right-sided, torted, cystic solid ovarian mass, and a polypoid lesion in the uterine cavity...
2022: Frontiers in Oncology
#10
Elisa Maienza, Nathalie Chereau, Fabrice Menegaux
INTRODUCTION: A wandering spleen is a rare anatomical condition characterized by a free-floating splenic tissue that is not located in its normal position in the left upper quadrant. This condition is usually asymptomatic but can also manifest itself with volvulus of the spleen and consequent infarction and necrosis of the parenchyma, requiring an urgent surgical management. Additionally, a wandering spleen can be associated with other contemporaneous anatomical anomalies. Case Presentation ...
2022: Case Reports in Surgery
#11
JOURNAL ARTICLE
Fehim Can Sevil, Mehmet Tort, Çiğdem Özer Gökaslan, Hülya Sevil, Necip Becit
OBJECTIVES: The goal of our study was to determine the prevalence of abdominal aortic aneurysms (AAAs) that were incidentally diagnosed by computed tomography applied for different reasons and to discuss the risk factors that may cause AAA. METHODS: A total of 5396 abdominal computed tomography examinations were performed, and the 103 incidentally detected AAAs were included in the study. Patients with and without AAA were compared in terms of age, gender, thoracic and abdominal aortic diameters and comorbid diseases...
November 11, 2021: Interactive Cardiovascular and Thoracic Surgery
#12
JOURNAL ARTICLE
Ingrid Camargo Dos Reis, Camino Fierro-Castro, Giovanni Sampaio Gonçalves, Basia Schlichting Moromizato, Lluis Tort, Jaqueline Dalbello Biller
The association of vaccines with immunostimulants such as β-glucan, promote the production of cytokines, competent immune cells and antibodies. However, differences between β-glucan types and trials make it difficult to understand β-glucan's mechanism of action. In this study, three trials were carried out with control and fish fed β-glucan, the first trial occurred at 15 days; the second trial occurred at 30 days when we associated β-glucan and vaccine; and the third trial occurred at 15 days post-challenge with Streptococcus agalactiae in tilapia (O...
August 12, 2021: Fish & Shellfish Immunology
#13
JOURNAL ARTICLE
Ambika Prasad Patra, M Kumaran
The present paper is a case-based review on rare complications of illegal abortion, i.e., necrotizing fasciitis missed early by the treating gynecologists which landed up into a negligence tort against the physicians. The common complications of the abortion like incomplete abortion, haemorrhage, sepsis, etc. are usually handled successfully by the gynecologists; however, early detection often missed when a rare complication like necrotising fasciitis occurs. Eventually leading to litigations in case of death of the patient...
November 2021: Legal Medicine
#14
JOURNAL ARTICLE
Jojo Tibon, Marta Silva, Jens J Sloth, Heidi Amlund, Veronika Sele
Organoarsenic species in marine matrices have been studied for many years but knowledge gaps still exist. Most literature focuses on monitoring of arsenic (As) species using previously published methods based on anion- and cation-exchange high-performance liquid chromatography-inductively coupled plasma mass spectrometry (HPLC-ICP-MS). These studies are often limited to few As species and/or only specific method performance characteristics are described. Most marine certified reference materials (CRMs) are only certified for arsenobetaine (AB) and dimethylarsinate (DMA), making it difficult to evaluate the accuracy of analytical methods for other organoarsenic species...
May 15, 2021: Analytical and Bioanalytical Chemistry
#15
JOURNAL ARTICLE
Smriti Kapoor, Shoaib Saeed, Dinesh Balasubramaniam
A 7-year-old girl presented with a 2-day history of right iliac fossa pain, fever and elevated inflammatory markers. Clinical examination supported a diagnosis of appendicitis. The patient was taken to theatre for an open appendicectomy the following morning. Intraoperatively, a right-sided ovarian haemorrhagic cyst with 360 degrees torsion was discovered. The ovary was torted along with the cyst. Both were detorted and the abdomen was closed. The patient was discharged 48 hours later, with gynaecology outpatient follow-up 6-8 weeks later...
February 17, 2021: BMJ Case Reports
#16
JOURNAL ARTICLE
Clemmie Stebbings, Ahmed Latif, Janakan Gnananandan
A 39-year-old multiparous Afro-Caribbean woman attended the emergency department with sudden-onset severe right iliac fossa pain. Her inflammatory markers were mildly elevated. Computerised tomography of the abdomen demonstrated features of fat stranding in the right iliac fossa suspicious of acute appendicitis. The scan also noted uterine leiomyomas. The patient was taken to theatre for an emergency diagnostic laparoscopy where her appendix was found to be macroscopically normal. A necrotic heavily calcified parasitic leiomyoma was seen in the right adnexa, free of the uterus and adherent to the greater omentum on a long torted pedicle...
January 27, 2021: BMJ Case Reports
#17
JOURNAL ARTICLE
Alba Ganarin, Francesco Fascetti Leon, Enrico La Pergola, Piergiorgio Gamba
Introduction: Splenopexy has been proposed as the treatment of choice in case of wandering spleen (WS). We report our experience and review the current literature focusing on surgical management and outcomes of children affected by WS. Materials and Methods: Data regarding demographics, clinical manifestations, diagnosis, and treatment of children treated for WS at our Institution were analyzed. Systematic review was registered on Prospero (CRD42018089971). Scientific databases were searched using defined keywords...
January 11, 2021: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
#18
REVIEW
Stephany Campanelli, Adriano Bretanha Lopes Tort, Bruno Lobão-Soares
Introduction: The millenarian breathing exercises from Yoga, commonly called Pranayamas , are known to induce meditative states, reduce stress, and increase lung capacity. However, the physiological mechanisms by which these practices modulate the human nervous system still need to be unveiled. Objectives: The aim of this work was to review studies describing the influence of breathing exercises on the brain/mind of humans. Methodology: We reviewed articles written in English and published between 2008 and 2018...
September 2020: International Journal of Yoga
#19
Rohen Skiba, Dhruva Nath Ghosh, Andrew Barker
Wandering spleen is a rare pathology. A 2-year-old child with abdominal pain was diagnosed to have a torted, avascular wandering spleen. On conservative management, she remains well with no radiological evidence of the spleen. Splenic torsion usually warrants surgery. Nonoperative management in selected cases allows the natural process of autosplenectomy.
September 2020: Journal of Indian Association of Pediatric Surgeons
#20
David A Simon, Nathan R Fleishman, Pamala Choi, Jason D Fraser, Ryan T Fischer
Torsion of an accessory spleen is an exceedingly rare cause of abdominal pain in pediatric patients. The diagnosis is frequently challenging as presentation is variable and diagnostic imaging can be aspecific. The current case describes an unusual presentation of a torted accessory spleen in a 5-year-old girl with biliary atresia splenic malformation syndrome who initially presented with non-specific abdominal symptoms and fever. The diagnosis was made following fine-needle aspiration of a suspected intraabdominal abscess...
2020: Frontiers in Pediatrics
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